Choose Tailored Benefits for your Team with a Level Funded Plan

In today’s competitive landscape, businesses need more than just health insurance – they need a strategic advantage. Great American Employer Health Solutions’ Level Funded Plus delivers just that with our level funded group program, designed to give you access to big-business benefits without the big-business price tag.

What you get with Level Funded Plus

• Cost predictability: Pay a fixed monthly amount that covers expected claims, administrative costs and stop-loss insurance – making budgeting simple and stress-free.
• Lower premiums compared to fully insured plans: Level funded plans often come with lower monthly premiums than traditional fully insured plans. By avoiding risk pooling with higher-cost groups, you may benefit from more favorable rates and better cost control.
• Potential savings in healthy years: If actual claims are lower than projected, you may receive a year-end refund, turning good employee health into direct savings.

Level Funded Plus benefits

Level Funded Plus goes beyond traditional health plans by offering a powerful combination of innovation, customization and cost control. Here’s what sets it apart:

• Cutting-edge technology, featuring an intuitive portal and mobile app for seamless access to benefits
• Highly customizable plan designs tailored to your group’s unique needs
• Diverse Pharmacy Benefit Manager (PBM) options to align with your cost and care priorities
• Expansive network options including high-performing networks
• Alternative pricing models including reference-based pricing for greater transparency and savings
• Proven, reliable TPA support model to ensure expert plan administration
• Integrated medical management solutions for proactive, member-focused care
• Robust cost containment strategies to drive financial efficiency
• Access to high-quality virtual care options

What is Level Funding?

Level funded health plans combine the cost predictability of fully insured plans with the potential savings of self-funding – making them an attractive option for small to midsize businesses looking for more control and flexibility.

Predictable Costs, Simplified Budgeting

With level funding, you make one consistent monthly payment that covers:

1. Claims fund contributions: Each month, you contribute a fixed amount to cover your group’s expected claims for the year – spread evenly across 12 months. If claims are lower than expected, you may receive a refund.
2. Plan administration costs: This portion of your monthly payment supports all plan management services – like member support, claims handling, access to provider networks, reporting and broker-related services.
3. Stop-loss coverage premiums: You pay a set premium for your stop-loss policy, which protects your business from unusually high claims. This coverage limits your financial risk and adds stability to your health plan costs.

Built-in Protection, No Matter the Outcome

Level funded plans are designed to keep your costs predictable, whether your claims year is high or low. In a high-claims year, stop-loss coverage limits your exposure. In a low-claims year, you may receive a refund from your claims fund, turning smart health management into real savings.